2019-11-14T15:26:11-06:00 2018-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2018-01-01 222291346 GENESEE VALLEY PRESBYTERIAN NURSING CENTER GENE 5854611991 254 ALEXANDER STREET ROCHESTER NY 14607 SCOTT MAAR VP OF FINANCE/CFO 5854611991 2019-11-14 1 KELLEY DEMONTE P01382609 5853811000 4.14.157.194 2019-11-14 14:55:33 ES P 732378BCB607919EEFADA85A3B0C7D64D8B32DE6 732378BCB607919EEFADA85A3B0C7D64D8B32DE6 2018 2020-03-31 21:24:44Z KIRKHAVEN SCOTT MAAR 254 ALEXANDER STREET ROCHESTER NY 14607 13955113 0 X WWW.KIRKHAVEN.COM X 1980 NY ORGANIZATION IS A 147 LICENSED-BED SKILLED NURSING HOME, WHICH PROVIDES LONG-TERM AND SHORT-TERM SKILLED NURSING AND REHABILITATIVE CARE TO SENIORS INCLUDING A HIGH PERCENTAGE OF INDIGENT AND MINORITY SENIORS. ALL INCOME RECEIVED IS USED IN THE PROVISION OF CARE AND SUPPORT SERVICES. 15 15 323 15 0 0 1203321 159163 12633598 13664661 217 1485 129213 129804 13966349 13955113 0 0 0 0 7936634 8212757 0 0 0 6019601 5986671 13956235 14199428 10114 -244315 11244719 10467156 11674057 10943120 -429338 -475964 NURSING HOME THAT PROVIDES SKILLED LONG-TERM CARE, REHABILITATIVE AND ALZHEIMERS/DEMENTIA CARE FOR SENIORS IN A MANNER THAT EMBRACES A PHILOSOPHY OF PERSON-CENTERED CARE, QUALITY OF CARE AND FAITH-BASED MISSION. 0 0 12776994 13664661 NURSING HOME THAT PROVIDES SKILLED LONG-TERM CARE, REHABILITATION AND ALZHEIMERS/DEMENTIA CARE FOR SENIORS IN A MANNER THAT EMBRACES A PHILOSOPHY OF PERSON-CENTERED CARE QUALITY OF CARE AND FAITH-BASED MISSION (147 BEDS). 12776994 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 323 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NY X SCOTT MAAR 5854611991 254 ALEXANDER STREET ROCHESTER NY 14607 ERANE T ALLEN VICE CHAIRPERSON 0.50 0.25 X 0 0 0 JAMES BEIKIRCH DIRECTOR 0.50 0.25 X 0 0 0 SUSAN CARLSON DIRECTOR 0.50 0.25 X 0 0 0 TERRY W COTTON DIRECTOR 0.50 0.25 X 0 0 0 LETICIA FORNATARO DIRECTOR 0.50 0.25 X 0 0 0 DUANE GIRDNER DIRECTOR 0.50 0.25 X 0 0 0 CARLO JANNOTTI SECRETARY/TREASURER 0.50 0.25 X X 0 0 0 ANGIE KETTELL DIRECTOR 0.50 0.25 X 0 0 0 MARY-JOY LIPARI DIRECTOR 0.50 0.25 X 0 0 0 NATALIE MASCO DIXON DIRECTOR 0.50 0.25 X 0 0 0 KELLY O'CONNELL DIRECTOR 0.50 0.25 X 0 0 0 RICHARD POTTS DIRECTOR 0.50 0.25 X 0 0 0 AMELIA SMITH-STRATTON DIRECTOR 0.50 0.25 X 0 0 0 JOHN WARD CHAIRPERSON 0.50 0.25 X X 0 0 0 REV GORDON V WEBSTER DIRECTOR 0.50 0.25 X 0 0 0 ANNE GALLESE EXECUTIVE DIRECTOR/ADMINISTRATOR 40.00 0.00 X 153723 0 15154 JAMES DEVOE FORMER DEVELOPMENT DIRECTOR & PRESIDENT EMERITUS 5.00 15.00 X 148861 0 0 302584 0 15154 2 1 1 0 0 159163 159163 SKILLED NURSING HOME SERVICES 623110 13664661 13664661 13664661 1485 1485 42768 0 42768 42768 42768 STAFF CAFETERIA, VENDING, & GUEST 722210 37062 37062 ALL OTHER REVENUE 900099 34620 34620 PARKING FEES 812900 9250 9250 6104 6104 87036 13955113 13664661 0 131289 153723 153723 6431495 6218236 213259 433115 408978 24137 705003 665715 39288 489421 462146 27275 232423 232423 12485 12485 21793 21793 1213847 1178121 35726 247230 206760 40470 5903 2405 3498 188547 157683 30864 677997 567339 110658 136992 114567 22425 SUPPLIES & MATERIALS 886678 878008 8670 BAD DEBT EXPENSE 883782 883782 NYS CASH RECEIPTS ASSES 728291 728291 PURCHASED & CONTRACTED 475671 263558 212113 275032 41405 233627 14199428 12776994 1422434 0 2212 10670 736588 838855 1942591 1604951 108265 73078 17405860 11848662 5920851 5557198 2534212 2382404 11244719 10467156 960652 1202361 78356 3304 4737196 4338209 5897853 5399246 11674057 10943120 X -2626271 -2414482 0 0 2196933 1938518 -429338 -475964 11244719 10467156 X -244315 197689 X X 0 1 X 1 0 X 263942 136768 293021 1203321 159163 2056215 11795793 13048682 12935472 12633598 13664661 64078206 12059735 13185450 13228493 13836919 13823824 66134421 0 0 0 66134421 974 328 537 217 1485 3541 974 328 537 217 1485 3541 76760 73287 75491 129213 86638 441389 12137469 13259065 13304521 13966349 13911947 66579351 0.99330 0.99320 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 964485 1735 966220 962814 1671 964485 958807 4007 962814 957657 1150 0 0 958807 956411 1244 61729 61727 957657 1.00000 0 1 1 438016 438016 14404618 9894287 4510331 2249027 1756412 492615 314199 197963 116236 5557198 DEFERRED COMPENSATION ASSET 241804 BENEFICIAL INTEREST IN FOUNDATION 1938518 RESIDENT DEPOSITS HELD IN TRUST 178498 DUE FROM AFFILIATES, NET 23584 2382404 DUE TO THIRD-PARTY PAYORS 569000 WORKERS COMPENSATION LIABILITY 501716 DEFERRED COMPENSATION LIABILITY 241804 RESIDENT DEPOSITS HELD IN TRUST 178498 RETIREMENT BENEFIT LIABILITY 3908228 5399246 13955113 0 13955113 0 13955113 14199428 0 14199428 0 14199428 PART V, LINE 4: ENDOWMENT FUNDS ARE TO BE HELD IN PERPETUITY WITH THE INCOME TO BE RECOGNIZED AND TRANSFERRED TO TEMPORARILY RESTRICTED FUNDS WITHIN THE FOUNDATION AND TRANSFERRED TO KIRKHAVEN ANNUALLY BASED ON BOARD APPROVED TOTAL RETURN & SPEND POLICY FOR USE IN SUBSIDIZING THE ORGANIZATION'S MISSION AND OPERATIONS. X X X X X 1 1 0 0 0 0 0 0 0 ANNE GALLESE EXECUTIVE DIRECTOR/ADMINISTRATOR 153723 0 0 0 0 0 4854 0 10300 0 168877 0 0 0 JAMES DEVOE FORMER DEVELOPMENT DIRECTOR & PRESID 42198 0 0 0 106663 0 0 0 0 0 148861 0 0 0 PART I, LINES 4A-B PRESIDENT EMERITUS JAMES E. DEVOE WAS PAID A SEVERANCE PREVIOUSLY APPROVED AS PART OF HIS COMPENSATION PACKAGE AND EMPLOYMENT AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A MEMBERSHIP CORPORATION WITH PRESBYTERIAN HOMES & SERVICES OF GENESEE VALLEY (D/B/A SENIORSFIRST) THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS FOR THE MEMBER CONSTITUTE THE BOARD OF DIRECTORS FOR THE ORGANIZATION (MIRROR BOARD). FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S BYLAWS IDENTIFY CERTAIN RESERVED POWERS THAT REQUIRE APPROVAL BY THE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE AUDIT COMMITTEE OF THE BOARD ON BEHALF OF THE ORGANIZATION'S BOARD. A COPY OF THE 990 IS AVAILABLE TO ALL THE GOVERNING DIRECTORS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND KEY EMPLOYEES MUST COMPLETE AND UPDATE CONFLICT OF INTEREST FORMS ANNUALLY AND AS NEEDED. AT ALL BOARD MEETINGS AND COMMITTEE MEETINGS, A CALL FOR DISCLOSURE OF ANY CONFLICTS OF INTEREST RELATED TO THE APPROVED AGENDA IS REQUIRED AND DOCUMENTED IN THE MINUTES. THE GOVERNANCE COMMITTEE OF THE PARENT BOARD MONITORS AND ENFORCES COMPLIANCE AS NEEDED. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE PARENT BOARD REVIEWS, DETERMINES AND APPROVES (WITH FULL BOARD APPROVAL) THE EXECUTIVE DIRECTOR COMPENSATION. PERIODIC SURVEY AND COMPARABLE DATA IS USED TO ASCERTAIN REASONABLENESS AND COMPETITIVENESS OF COMPENSATION. THE HR COMMITTEE, UPON APPROVAL OF THE BOARD, REVIEWS AND APPROVES COMPENSATION SCALES AND ANNUAL INCREASE RANGE FOR ALL OTHER STAFF. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION IS AVAILABLE TO THE PUBLIC UPON REQUEST TO ADMINISTRATION. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF PENSION 456,104. CHANGE IN BENEFICIAL IN FOUNDATION -258,415. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. PRESBYTERIAN HOMES & SERVICES OF GENESEE VALLEY DBA SENIORFIRST 254 ALEXANDER STREET ROCHESTER NY 14607 161592416 PARENT ORGANIZATION NY 501(C) LINE 11 N/A 0 SENIORSFIRST FOUNDATION INC 254 ALEXANDER STREET ROCHESTER NY 14607 161378080 SUPPORTING ORGANIZATION NY 501(C) LINE 11 PHSGV DBA SENIORSFIRST 0 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 1